Pivotal role of cerebral interleukin-17-producing gammadeltaT cells in the delayed phase of ischemic brain injury

Nat Med. 2009 Aug;15(8):946-50. doi: 10.1038/nm.1999. Epub 2009 Aug 2.

Abstract

Lymphocyte recruitment and activation have been implicated in the progression of cerebral ischemia-reperfusion (I/R) injury, but the roles of specific lymphocyte subpopulations and cytokines during stroke remain to be clarified. Here we demonstrate that the infiltration of T cells into the brain, as well as the cytokines interleukin-23 (IL-23) and IL-17, have pivotal roles in the evolution of brain infarction and accompanying neurological deficits. Blockade of T cell infiltration into the brain by the immunosuppressant FTY720 reduced I/R-induced brain damage. The expression of IL-23, which was derived mostly from infiltrated macrophages, increased on day 1 after I/R, whereas IL-17 levels were elevated after day 3, and this induction of IL-17 was dependent on IL-23. These data, together with analysis of mice genetically disrupted for IL-17 and IL-23, suggest that IL-23 functions in the immediate stage of I/R brain injury, whereas IL-17 has an important role in the delayed phase of I/R injury during which apoptotic neuronal death occurs in the penumbra. Intracellular cytokine staining revealed that gammadeltaT lymphocytes, but not CD4(+) helper T cells, were a major source of IL-17. Moreover, depletion of gammadeltaT lymphocytes ameliorated the I/R injury. We propose that T lymphocytes, including gammadeltaT lymphocytes, could be a therapeutic target for mitigating the inflammatory events that amplify the initial damage in cerebral ischemia.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Brain Injuries / etiology
  • Brain Injuries / genetics
  • Brain Injuries / immunology
  • Brain Injuries / metabolism
  • Brain Ischemia / complications
  • Brain Ischemia / genetics
  • Brain Ischemia / immunology*
  • Brain Ischemia / metabolism
  • DNA-Binding Proteins / genetics
  • Interferon-gamma / genetics
  • Interleukin-17 / genetics
  • Interleukin-17 / metabolism*
  • Interleukin-23 Subunit p19 / genetics
  • Mice
  • Mice, Knockout
  • Receptors, Antigen, T-Cell, gamma-delta / genetics
  • Receptors, Antigen, T-Cell, gamma-delta / metabolism*
  • Reperfusion Injury / genetics
  • Reperfusion Injury / immunology*
  • Reperfusion Injury / metabolism
  • T-Lymphocytes / metabolism
  • T-Lymphocytes / physiology*
  • Time Factors

Substances

  • DNA-Binding Proteins
  • Interleukin-17
  • Interleukin-23 Subunit p19
  • Rag2 protein, mouse
  • Receptors, Antigen, T-Cell, gamma-delta
  • Interferon-gamma